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Do the more educated utilize more health care services? Evidence from Vietnam using a regression discontinuity design

  • Thang Dang
Research Article

Abstract

In 1991, Vietnam implemented a compulsory primary schooling reform that provides this study a natural experiment to estimate the causal effect of education on health care utilization with a regression discontinuity design. This paper finds that education causes statistically significant impacts on health care utilization, although the signs of the impacts change with specific types of health care services examined. In particular, education increases the inpatient utilization of the public health sector, but it reduces the outpatient utilization of both the public and private health sectors. The estimates are strongly robust to various windows of the sample choice. The paper also discovers that the links between education and the probability of health insurance and income play essential roles as potential mechanisms to explain the causal impact of education on health care utilization in Vietnam.

Keywords

Education Health care utilization Regression discontinuity design Vietnam 

JEL Classification

I12 I21 J13 

Notes

Acknowledgements

The author would like to thank the editor, two anonymous reviewers and Thomas Cornelissen for helpful comments and suggestions.

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Copyright information

© Springer Science+Business Media, LLC, part of Springer Nature 2018

Authors and Affiliations

  1. 1.Department of Economics and Related StudiesUniversity of YorkYorkUK
  2. 2.School of EconomicsUniversity of Economics Ho Chi Minh City (UEH)Ho Chi Minh CityVietnam

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